| NPI | 1679261176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILIZABETH BIRK CEO 602-791-9028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-12-10 |