| NPI | 1396458113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENE BASSEY Office Manager 602-692-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2024-03-28 |