| NPI | 1902093164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA EUBANK NEWELL President 602-478-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3330) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2017-10-25 |