| NPI | 1588367858 |
|---|---|
| Doing Business As | KIRKLAND CRC |
| Entity Type | Organization |
| Authorized Contact | JANICE TALAS DENNY Provider Network Management Assoc 602-416-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-04-12 |