| NPI | 1104667294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJOK AJAWIN Owner 480-358-7850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |