| NPI | 1578912093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB SCHMITT Cco & Director Of Quality 602-234-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ OTC7662) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |