| NPI | 1417029018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M BYNES Owner Provider 520-323-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-2746) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-06-21 |