| NPI | 1396987459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKSHMI R NOLLETTI Clinical Director/Owner 602-343-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2017-03-28 |