| NPI | 1306254743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ZACHEIS EATON Owner 520-255-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-11342) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |