| NPI | 1659071520 |
|---|---|
| Other Name | OUTPATIENT SERVICES (CLINIC) |
| 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 |