NPI | 1790424810 |
---|---|
Entity Type | Organization |
Authorized Contact | LADY ESTHER AGYEPONG CEO/Clinical Director 480-331-8521 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2022-05-27 |
Last Update Date | 2022-07-19 |