| NPI | 1396102661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM M. GOTTLIEB Psychologist 602-295-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 979) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |