| NPI | 1992540264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LILIANE HAWK Clinical Psychologist 480-218-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |