| NPI | 1225206444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN NELSON Chief Clinical Officer 480-213-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3049) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |