| NPI | 1255413118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY PAUL HENDERSON President Psychologist 928-458-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AZ 4041) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2009-09-15 |