| NPI | 1235373960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL TOMAS LEON Chief Executive Officer 602-253-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2011-10-04 |