| NPI | 1760251169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNSEY VALDEZ Manager 480-705-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |