NPI | 1366054694 |
---|---|
Entity Type | Organization |
Authorized Contact | INA HILGERS Owner 480-231-8925 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2020-08-18 |