| NPI | 1770283855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMAR YOUNG CEO 623-202-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |