| NPI | 1104476324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI BEJAR Revenue Cycle Manager 623-444-2169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-12-07 |