| NPI | 1306021126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GREGORY Executive Director 602-237-2485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3807) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2011-01-14 |