| NPI | 1235934431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA KANGETHE Owner 480-434-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-14 |