NPI | 1184380073 |
---|---|
Entity Type | Organization |
Authorized Contact | TAYLOR ARCHER Lcsw 480-482-0629 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-11-15 |
Last Update Date | 2021-11-15 |