NPI | 1821755141 |
---|---|
Doing Business As | CRC-INPATIENT UNIT |
Entity Type | Organization |
Authorized Contact | JANICE TALAS-DENNY Provider Network Management Assoc 623-273-6154 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-11-22 |
Last Update Date | 2024-08-28 |