| NPI | 1427536770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SAMAYOA DIAZ Executive Director 480-831-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |