| NPI | 1164829669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R BURRELL Executive Director 602-367-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH4493) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2020-02-14 |