| NPI | 1699541177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN SHEDRICK Administrator 602-755-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 103TC1900X Psychologist Counseling | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TS0200X Psychologist School | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |