| NPI | 1174949937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAINE ANN KERN Counselor 602-753-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 13954) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |