| NPI | 1841911526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA STINER Billing Director 602-694-9643 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2025-12-11 |