| NPI | 1083323901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L ELIZONDO CEO 480-593-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2022-11-18 |