| NPI | 1396492005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY Chief Financial Officer 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 | 2022-03-03 |
| Last Update Date | 2022-03-03 |