| NPI | 1932986205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLI BERRY Cco 602-770-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-02-02 |