| NPI | 1063600542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY WILKERSON Owner 480-962-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-1852) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |