| NPI | 1801755905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORRENDA ARAE SMITH Director 602-628-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2026-01-15 |
| Last Update Date | 2026-07-03 |