| NPI | 1376956557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL MARTINEZ Chief Operating Officer 602-561-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-10252) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-08-28 |