| NPI | 1396491775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WALL Vice Chair 480-466-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2024-09-18 |