| NPI | 1669191771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MOORE CEO 602-566-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |