| NPI | 1699954891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI LEE EATON President 480-603-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149-005721) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2020-04-08 |