NPI | 1538254891 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE ARCHAMBEAU Owner Provider 520-577-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 3522) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-06-18 |