| NPI | 1962049965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE KATHLEEN STEWART Owner, CEO 602-544-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 247200000X Technician, Other | |
| 2472E0500X Technician, Other EEG | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-02-14 |