| NPI | 1083237630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL SASSANO Member And Manager 480-343-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |