| NPI | 1205794807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSETTE D SULLINS CEO 602-566-7627 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |