| NPI | 1689384851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BARTREAU Owner 480-818-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2023-01-27 |