| NPI | 1457918526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MCCLEARN Mental Health Counselor/ Clinician 602-845-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2020-12-22 |