| NPI | 1457466815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RUANE Owner 480-641-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH4092) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH2664) |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-11-17 |