| NPI | 1497964662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LEE DON President 602-996-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ 26172) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-08-20 |