| NPI | 1235441460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID PECK President 602-570-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW12742) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-10-18 |