| NPI | 1770931008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOZAMIL GABIR ABDELRAHMAN Owner 480-907-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ BH4839) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |