| NPI | 1902638661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY HARPER Owner 480-648-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |