| NPI | 1215966148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BANDON JONES Director Of Clinical Services 602-396-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-1514) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2025-04-28 |