| NPI | 1366103657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE PICKERING Owner 623-570-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2025-11-04 |