NPI | 1235616103 |
---|---|
Entity Type | Organization |
Authorized Contact | SAED GELLE Owner 480-404-8184 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2024-02-12 |