NPI | 1326287087 |
---|---|
Other Name | TLP AMELIA |
Entity Type | Organization |
Authorized Contact | WAYNE HOCHSTRASSER CEO/President 602-995-7474 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-2242) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2009-02-19 |