| NPI | 1093202251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE ANNETT Assistant Clinical Director 480-508-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |