| NPI | 1043844756 |
|---|---|
| Doing Business As | VANESSA BROCKMAN |
| Entity Type | Organization |
| Authorized Contact | VANESSA BROCKMAN Owner 520-954-8924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |