| NPI | 1003927518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA J WRIGHT Owner/President 623-297-4756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ LPC 11120) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-07-21 |