| NPI | 1730891375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH JENNIFER OGUDO Director Of Operations (Dop) 602-425-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |