| NPI | 1316375611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIGI NANETTA VEASEY Executive Director 480-496-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH2736) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |