NPI | 1164289088 |
---|---|
Entity Type | Organization |
Authorized Contact | ELTAYEB SHARIF Vice President 480-599-9517 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-03-06 |
Last Update Date | 2024-03-06 |