| NPI | 1194451989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILESH PATEL Dr 602-469-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |