| NPI | 1619838380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOFFER JOHN PIERSON Owner 602-373-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |