NPI | 1194186312 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN TAYLOR Owner 602-228-1108 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG7595) |
Enumeration Date | 2016-03-16 |
Last Update Date | 2016-03-16 |