| NPI | 1679444509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LIVINGSTON Vice President Payor Contracting 602-256-3020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |