| NPI | 1245363894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN P COOK Director 602-548-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-01-31 |