| NPI | 1760972947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB SCHMITT Chief Compliance Offr & Dir. Of Qua 602-234-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: AZ OTC8921) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2022-10-06 |