| NPI | 1639666837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECCILY BEDNASH President 602-299-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |