| NPI | 1841686078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KIM LICHTE-BRILL Chief Clinical Officer 602-910-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4484) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 127) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |