NPI | 1134669229 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA MARIA SMITH Sr. Program Manager 602-814-3947 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG5979) |
Enumeration Date | 2017-03-08 |
Last Update Date | 2023-07-14 |