| NPI | 1104839752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JEAN RYBA Lcsw 928-300-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12084) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-10-08 |