| NPI | 1245404300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD DAHL Social Worker 602-277-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-12245) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |