| NPI | 1780979583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MARIE KYRISCH President 480-305-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 12033) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |