| NPI | 1215751920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMI TAYLOR CEO 602-743-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2025-10-07 |