| NPI | 1740965870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHEL PERRY CEO 480-620-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |