| NPI | 1689555195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS CORTES Business Manager 602-842-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |