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 |