| NPI | 1962128249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB M REID Owner/Member Manager 480-999-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 251B00000X Case Management | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-01-26 |