| NPI | 1285038794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA NICOLE HENDERSON Hctc Provider 480-293-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AZ 5662295) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |