NPI | 1982356077 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANNE R DOMEK Owner 480-823-0360 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-01-20 |
Last Update Date | 2022-01-20 |