| NPI | 1700778727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN SOFRANKO Owner & Managing Member 520-428-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-08-14 |