| NPI | 1679261176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILIZABETH BIRK CEO 602-791-9028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-05-08 |