| NPI | 1053294017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M ROSS CEO 602-763-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |