| NPI | 1093304479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILISSA ANDREA WINSTON Clinical Director 480-561-7895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |