| NPI | 1225414881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK SILAJ Senior Accountant 480-304-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ CSLG 7172) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2019-09-12 |