| NPI | 1821660671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A ADAMS Owner 623-400-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2023-07-10 |