| NPI | 1275899858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY A DAVIS Owner/Provider 520-395-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-13379) |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2013-03-09 |