| NPI | 1225117252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA EVE EDWARDS Psychologist 602-248-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 1059) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |