| NPI | 1316009145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE HENDERSON President And CEO 602-279-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6217) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-08-22 |