| NPI | 1154355329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN CHOKEY Clinical Director 480-962-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3890) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-08-10 |