| NPI | 1619912029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN BROOKS Rcm 602-432-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH2833) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-08-08 |