| NPI | 1295581544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONI WORSLEY COO 602-918-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-04-27 |