NPI | 1225361108 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA LEE WOODS Sole Proprietor 602-679-5273 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ lcsw-11749) |
Enumeration Date | 2009-09-10 |
Last Update Date | 2009-09-10 |