| NPI | 1033516208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOHN BRATKO Clinical Director 602-402-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC-14567) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |