| NPI | 1831955764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY THORNTON Member Manager 480-235-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| 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 |