| NPI | 1780377895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUY VOLLAND Managing Member 480-719-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 261Q00000X | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-07-14 |