| NPI | 1295162626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY S. KAUFMAN Executive Director 602-257-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ BH4321) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |