| NPI | 1205391588 |
|---|---|
| Doing Business As | SANCTUARY-OGA |
| Entity Type | Organization |
| Authorized Contact | TRACEY M. PARKER CEO 480-278-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |