| NPI | 1356112692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS MORAN CEO 623-466-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |