| NPI | 1053635375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELIA PRATS Director 602-348-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ bh3543) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |