| NPI | 1841683943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON CAROLYN PHILLIPS Owner/Clinical Director 602-670-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |