| NPI | 1861752503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ANN LANGREDER Owner 623-332-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC10833) |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2012-05-28 |