NPI | 1659071520 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE TALAS DENNY Provider Network Management Assoc 623-273-6154 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-03-08 |
Last Update Date | 2023-04-12 |