| NPI | 1477266609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA IRWIN Owner 520-635-5547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-04 |