| NPI | 1922567817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BECKSTEAD Director Of Informatics 480-848-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2020-01-24 |