| NPI | 1023761616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY S CAMPBELL CEO 480-825-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |