NPI | 1316593296 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNA MICHELLE DEMUS Chief Administrative Officer 623-695-6045 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-08-15 |
Last Update Date | 2025-08-09 |