| NPI | 1891156121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH BUTLER Credentialing Manager 480-204-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ 15934) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |