| NPI | 1063743326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA M GORMAN Owner/Provider 520-975-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12230) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2013-10-19 |