| NPI | 1730831991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCEY CARTER Behavioral Health Compliance Dir 480-987-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |