| NPI | 1427681949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE RAMIREZ President 623-217-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2023-06-09 |