| NPI | 1386800811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN OSOLLO Therapist 480-206-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LCSW2890) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |