| NPI | 1093929069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY VILLANO CEO President 602-995-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: AZ BH-2667) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-11-20 |