| NPI | 1114164001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EUGENE JOHNSON Psychologist/Manager 480-268-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AZ 3462) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2013-01-16 |