NPI | 1528650959 |
---|---|
Entity Type | Organization |
Authorized Contact | AISHA LYNN DEPRIEST Director Of Credentialing 480-369-4008 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-08 |
Last Update Date | 2023-03-06 |