| NPI | 1225498553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LOUISE HAMILTONCLARK Therapist 602-301-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LCSW 13674) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |