| NPI | 1972709566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MANN Director Of Clinical Operations 602-794-1749 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2012-05-04 |