NPI | 1063610350 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN GARDNER Director 602-312-1045 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 101116) |
Enumeration Date | 2007-07-07 |
Last Update Date | 2010-04-23 |