| NPI | 1346413051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN GATES President 480-451-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ 3397) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |