| NPI | 1134992738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SEAN WOODWARD Member/Manager/Organizer 480-272-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-11 |