NPI | 1285346536 |
---|---|
Doing Business As | CHOLLA BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | JERICHO CHEBULTZ CEO 602-686-5779 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-12-19 |
Last Update Date | 2023-05-25 |