| NPI | 1225027147 |
|---|---|
| Doing Business As | INTEGER |
| Entity Type | Organization |
| Authorized Contact | PAMELA WILLSON Co Owner 602-256-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2015-02-20 |