| NPI | 1588203525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ROBINSON Exec. Medical Director 602-427-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 364SP0812X Clinical Nurse Specialist Psychiatric/Mental Health, Community | |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2019-12-21 |