| NPI | 1255907903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE DAVIS CEO 602-314-6312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-07-31 |