| NPI | 1912176249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH GAYLE DAVIES Counselor 623-583-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-1584) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |