| NPI | 1437977527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN BOUCHARD-BUJAK Owner 623-400-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-09-28 |