| NPI | 1811607807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLI BERRY Cco 602-770-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-02-02 |