NPI | 1023499233 |
---|---|
Entity Type | Organization |
Authorized Contact | CORINA OGAZ Associate Director, Credentialing 602-636-3085 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2015-06-12 |
Last Update Date | 2022-05-12 |