| NPI | 1679145205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY D CAVES Owner 623-633-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-07-13 |