| NPI | 1306174115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDELL C DANIELS Assistant Executive Officer 623-848-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3284) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |