| NPI | 1164686978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA GAIL KING Counselor 520-886-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LAC12910) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |