| NPI | 1235716382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DELORENZO CAO CFO 480-641-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |