| NPI | 1568139616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RICHARDS Hr Manager 480-712-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 174400000X Specialist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-10-12 |