| NPI | 1417508136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE CEO 623-213-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TC1900X Psychologist, Counseling | |
| 163WC0400X Registered Nurse, Case Management | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |