NPI | 1518187160 |
---|---|
Doing Business As | LDS FAMILY SERVICES AZ PHOENIX |
Entity Type | Organization |
Authorized Contact | MATTHEW G WATSON Agency Director 623-878-2037 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: AZ 870489265A) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2008-06-03 |