| NPI | 1720846041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MENSAH Owner 623-419-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |