| NPI | 1811067309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANALENE MCRAE Owner 928-202-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-10614) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-11-08 |