| NPI | 1235776741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA CHRISTINE SOL Administrator 480-232-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |