| NPI | 1811382021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON STEVEN CLARK Chief Executive 602-776-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ UNC5520) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-05-20 |