| NPI | 1194706986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL TOMAS LEON Chief Executive Officer 602-253-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ BH-2585) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2011-10-04 |