| NPI | 1588952089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE RABIDEAU CEO 602-427-4603 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH3870) |
| Additional Taxonomies | 251S00000X (Licence: AZ BH3870) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ BH3870) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ BH3870) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |