| NPI | 1134669229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIELYNN MASCARO Vice President Of Program Operation 602-525-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG5979) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2026-04-22 |