| NPI | 1386957645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MICHAELLE HENNESSEY-PEIRCE Private Practitioner 602-617-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ LCSW-10373) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ LCSW-10373) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-11-18 |