| NPI | 1285447060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RANE BROWN Practice Owner 480-582-4604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |