| NPI | 1972195667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCEY CARTER Behav Health Compliance Director 602-265-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-07-01 |