NPI | 1003598657 |
---|---|
Other Name | CYS RITE OF PASSAGE JOANN |
Entity Type | Organization |
Authorized Contact | NANCEY CARTER Behavioral Health Compliance Dir 480-987-2053 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-08-03 |
Last Update Date | 2023-11-03 |