| NPI | 1083105985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NENITA G SCHWEICHLER Owner/Manager 480-861-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH5404) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |