| NPI | 1720893985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE BOYD Manager 623-385-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |