| NPI | 1407648454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESSIA KOSTA Owner, Member/Manager 623-396-5917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-05-17 |
| Last Update Date | 2025-05-17 |