| NPI | 1700257664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GALDYS Deputy CEO 602-636-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-032-605) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2024-06-06 |