| NPI | 1578159927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE DEVERNA CEO 480-800-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2022-03-08 |