| NPI | 1134710379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMARCO JEFFERSON CEO 480-886-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2022-07-19 |