| NPI | 1831955764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY THORNTON Member Manager 480-235-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |