| NPI | 1124225669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE T. ANNE Clinical Director 480-941-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 2099) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |