| NPI | 1235870262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARR RAPETA GONZALEZ Cmo 623-282-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-05-16 |