| NPI | 1043068455 |
|---|---|
| Former Legal Business Name | FAMILY LIFE BEHAVIORAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | MARKUS A BOOKER Billing 623-206-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |