| NPI | 1376240382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOOSHIN ADIB Manager/Owner/Provider 928-350-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-03-22 |