| NPI | 1972759397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF JORDE CEO 602-265-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ LPC-0037) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |