| NPI | 1992866834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HOFFMAN TEPPER President & CEO 602-685-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X (Licence: AZ OTC-6020) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ OTC-6020) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-06-03 |