| NPI | 1629277124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA S WADDELL-PRATT Clinical Psychologist 602-462-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 3384) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |