| NPI | 1710023197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL PADILLA School Psychologist 602-664-7230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-08-13 |