| NPI | 1740931625 |
|---|---|
| Doing Business As | SPIRIT-MIND-BODY BEHAVIORAL HEALTH |
| Other Name | SPIRIT-MIND-BODY OUTPATIENT TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | EZINNE IROKU CEO 623-218-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-01-12 |