NPI | 1568223279 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN GODFREY COO 602-688-0350 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-01-19 |