| NPI | 1225147960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA ROSETTE JONES Vice President 602-254-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X (Licence: AZ BH3520) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: AZ LISAC-10784) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-10-22 |