| 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 |