| NPI | 1164972485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LARSON-HUFFAKER Executive Director 480-784-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |