| NPI | 1447302914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ROBERSON President 602-522-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X (Licence: AZ CLSG7622) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-06-19 |