| NPI | 1598394850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCEY E. CARTER Behav Health Compliance Director 480-987-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-09-27 |