| NPI | 1962113357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA ANNE GREEN Manager/Therapist 602-677-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |