NPI | 1053025635 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA OWENS Owner 480-468-1796 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-01-09 |
Last Update Date | 2023-01-09 |