| NPI | 1306939368 |
|---|---|
| Doing Business As | DEVEREUX ARIZONA |
| Entity Type | Organization |
| Authorized Contact | YVETTE JACKSON Executive Director 480-889-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ LC-003(8-01)) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-03-28 |