NPI | 1831570852 |
---|---|
Entity Type | Organization |
Authorized Contact | DIXIE LOVRIEN Credentialing Manager 602-253-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2015-06-16 |
Last Update Date | 2015-06-16 |