| NPI | 1821523192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOZAMIL GABIR ABDELRAHMAN Owner 480-907-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH5141) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-05-31 |