| NPI | 1760063770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS BROWN Owner 602-877-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-09-18 |