| NPI | 1083863526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE BERRY Director 602-286-6154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |