| NPI | 1326398371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAIBA BARRY Clinical Director 602-369-1254 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3984) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |