| NPI | 1013508084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTEZ TAYLOR Owner 520-352-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-11-09 |