| NPI | 1679088363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI DAVIS Licensed Psychologist 480-410-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ 4519) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |