| NPI | 1073487260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA STINER Billing Director 602-694-9643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-12-11 |