| NPI | 1992599625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA PROIA Owner/Lcpc 480-572-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2026-02-09 |