| NPI | 1790335727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIE AKOM KWI Program Director 602-718-4018 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-03-06 |