| NPI | 1215641733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY WARREN Owner 480-826-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-08-22 |