| NPI | 1104856004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY B. HENNING CEO 602-285-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6258) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AZ OTC6258) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2026-01-29 |