NPI | 1013459593 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE LEE PETERSON Billing Coordinator 520-441-4754 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-13586) |
Enumeration Date | 2016-11-15 |
Last Update Date | 2016-11-15 |