| NPI | 1952115388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL ISAAC LOPEZ CEO 602-488-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2026-05-27 |