| NPI | 1689082265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY D ADAME Child And Family Therapist 602-403-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ lpc14458) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |