| NPI | 1326496233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE ANTHONY SANTOS Provider/Owner 520-456-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ AZ LCSW 2033) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |