| NPI | 1922354414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE KELLEY President 480-966-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AZ 23778) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2013-03-20 |