| NPI | 1386352714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD WERNER Division President 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |