| NPI | 1609068550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G. DAVIDSON-METHOT Managing Partner 480-262-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 3732) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 10245) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |