| NPI | 1356973143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA KENZSLOWE Psychologist 602-529-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2022-08-03 |