| NPI | 1780385302 |
|---|---|
| Other Name | INPATIENT |
| Entity Type | Organization |
| Authorized Contact | JANICE TALAS DENNY Provider Network Management Assoc 623-273-6154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-04-12 |