NPI | 1033776448 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON WRIGHT Principal 623-210-4872 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-05-21 |
Last Update Date | 2019-05-21 |