| 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 |