NPI | 1780355073 |
---|---|
Entity Type | Organization |
Authorized Contact | LUKE BIGLER Licensed Psychologist 480-432-3567 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2021-09-25 |
Last Update Date | 2023-08-02 |