| NPI | 1922876077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHEER LLEWELLYN GRAY Chief Executive Officer 480-334-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |