NPI | 1982362943 |
---|---|
Doing Business As | CRC-OUTPATIENT SERVICES |
Entity Type | Organization |
Authorized Contact | JANICE TALAS-DENNY Provider Network Managment Assoc 602-416-7647 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2021-12-07 |
Last Update Date | 2023-03-03 |