| NPI | 1558084210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KABATA Owner 480-277-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |