| NPI | 1386445070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONE L TOPHAM Licensed Clinical Social Worker 623-698-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |