| NPI | 1790219095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO VALERIO CANULLA CEO 602-571-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2018-12-28 |