| NPI | 1972818342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN D CHARLES Clinician 480-251-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LCSW-10704) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |