| NPI | 1811507379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLESHA TERUEL Practice Administrator/C.E.O. 480-572-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2021-06-02 |