| NPI | 1083237630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL SASSANO Member And Manager 602-762-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2025-03-18 |