NPI | 1073102208 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCEY CARTER Behav Health Compliance Director 480-987-2053 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2021-01-12 |
Last Update Date | 2021-07-01 |