| NPI | 1275043267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGGAN SULLIVAN Therapist 602-730-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ LCSW-13529) |
| Additional Taxonomies | 261Q00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ LCSW-13529) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2019-06-11 |