| NPI | 1619475704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE JACOBS Owner/Clinician 480-703-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |