| NPI | 1124187141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY NIXON CEO 602-277-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 3547) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ bh2580) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-10-19 |