| NPI | 1154108041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLI BERRY Cco 480-788-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QR1300X Clinic/Center Rural Health | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2024-02-02 |