| NPI | 1639914591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE GARCIA Owner 480-229-8140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-12-11 |