| NPI | 1033253307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA K NEAL Owner 520-219-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ 10922) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2022-07-21 |