| NPI | 1245166461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKUS LEVONTE' WHEATON Owner 480-214-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2026-06-23 |
| Last Update Date | 2026-06-23 |