| NPI | 1003913385 |
|---|---|
| Doing Business As | DEVEREUX ARIZONA |
| Entity Type | Organization |
| Authorized Contact | LANE MARTIN-BARKER Executive Director 480-998-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ BH-721) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |