| NPI | 1003273855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KIRKLAND PFS Director 602-344-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ H3673) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: AZ H3673) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2017-07-17 |