| NPI | 1497341168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ GRANT Primary Contact 602-456-0769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |