| NPI | 1508101551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIDAY B. MILBY President 623-910-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 1227) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 1227) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2013-01-25 |