| NPI | 1497229314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DELORENZO CFO 480-641-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2020-05-27 |