| NPI | 1659311926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. PERSHING Clinical Social Worker 602-494-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-O313) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |