| NPI | 1477104362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA STINER Billing Director 602-694-9643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-12-11 |