| NPI | 1326422213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI JOHNSON Board Member 480-236-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSA15ADHS0225) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |