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 Clinic/Center Mental Health (Including Community Mental Health Center) (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 |