| NPI | 1255841995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY QUIROS COO 602-995-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: AZ OTC8455) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2020-03-29 |