| NPI | 1225365216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI N WALDBERG Clinician 602-570-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 11032) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |