| NPI | 1477385904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN STRAIGHT Founder 480-232-5217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-09-04 |