| NPI | 1972335891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO E DALOTTO Owner 602-989-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-10-08 |