| NPI | 1689890634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLO J POOL Owner 480-507-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AZ BH2715) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ BH2715) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |