| NPI | 1629764816 |
|---|---|
| Doing Business As | WOODBRIDGE CAMPUS CRC |
| Entity Type | Organization |
| Authorized Contact | JANICE TALAS-DENNY Provider Network Management Assoc 602-416-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |