| NPI | 1164729745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LARSON-HUFFAKER Chief Executive Officer 480-983-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2021-03-11 |