NPI | 1033971742 |
---|---|
Doing Business As | NONE |
Entity Type | Organization |
Authorized Contact | DROCELLE MEDA WILSON CEO 480-258-8703 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2024-01-29 |
Last Update Date | 2024-04-04 |