| NPI | 1760980437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA APPLE Authorized Official 480-225-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015586) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |