| NPI | 1316762677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH BUTLER Business Manager Billing/Credential 480-204-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |