NPI | 1215164421 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK LAZARE Clinical Director/Owner 602-633-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2009-06-15 |