| NPI | 1336549146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA PURCELL Provider/Owner 928-284-8675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 13582) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-11-24 |