| NPI | 1225237340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J ELDRIDGE Director Of Operations 602-532-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH2448) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |