| NPI | 1699011791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LOWELL BRADLEY Director 480-921-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |