| NPI | 1689299976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO CORONA TORRES Owner 623-297-7973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |