| NPI | 1750509287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL PAULA ERICSON President 480-753-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-2009) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2010-03-15 |