| NPI | 1952934804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA PERRYMAN Administrator 623-253-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-09-21 |