| NPI | 1407216518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA T GREENWOOD Licensed Clinical Social Worker 602-218-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-15962) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |