| NPI | 1730832668 |
|---|---|
| Doing Business As | LOVE LAB |
| Entity Type | Organization |
| Authorized Contact | BREEANNA HORTON Owner 602-425-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-02-08 |