| NPI | 1942624580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK EDWARD GILLILAND Marriage And Family Therapist 602-463-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001143) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |