| NPI | 1164508875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA KAY WILKINSON Family Therapist 480-784-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC-12392) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |