| NPI | 1427434695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGHES MOHLIE Owner/Sole Provider 602-923-0436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2019-02-28 |