| NPI | 1003609546 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DR. LAMECK JOHN NYAKWEBA Executive Director 602-430-9646  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2025-05-27 | 
| Last Update Date | 2025-05-27 |