| NPI | 1326654294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA PORTER CEO 480-561-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |