| NPI | 1861781650 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID M BYNES Director 520-323-9835  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-2746)  | 
| Enumeration Date | 2011-04-01 | 
| Last Update Date | 2011-04-01 |