| NPI | 1598291304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA K KING Owner/Director 480-442-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 3312) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |