| NPI | 1720791239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN MAGBIE Owner 480-494-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |