| NPI | 1104598960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ROSENBALM Private Practice Owner / Therapist 520-222-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |