| NPI | 1043635758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH R LEINWEBER Owner 520-327-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW2595) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |