| NPI | 1255835997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY BERKLEY Owner 480-302-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: AZ AL10509H) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2019-06-12 |