| NPI | 1720388796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L PETTITT Director 602-320-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC2089) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |