| NPI | 1598279770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR OBIDIKE OKORIE Chief Executive Officer 602-524-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4725) |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |