| NPI | 1740470327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J LAURENT Owner 480-951-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ 30122) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2008-07-29 |