| NPI | 1124342993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANN CARL President/CEO 602-633-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC - 1003) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2020-05-21 |