| NPI | 1003974627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB SCHMITT Cco & Director Of Quality 602-234-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ OTC8080) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2022-10-06 |