| 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 |