NPI | 1174997092 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-11-16 |
Last Update Date | 2021-12-28 |