| NPI | 1700581873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN STEWART CEO 623-363-2689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-04-11 |