| NPI | 1083853147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUFFY T WOOTEN Managing Member 602-462-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 3308) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |