| NPI | 1871237578 |
|---|---|
| Doing Business As | PTC |
| Entity Type | Organization |
| Authorized Contact | TAMIKA DENISE HARROLD Owner 480-518-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |