| NPI | 1497948707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GASPER CARLISE Psychologist 602-622-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ 3229) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |