| NPI | 1992322127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE COX Director 480-640-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2022-04-28 |