| NPI | 1396526380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMARIE MADER CEO 480-499-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-11-06 |