NPI | 1184374431 |
---|---|
Entity Type | Organization |
Authorized Contact | TYRREIA HURT Administrator 623-251-3066 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-03-28 |
Last Update Date | 2022-03-28 |