| NPI | 1326431487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY PEEBLES President/CEO 602-788-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6704) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2018-10-04 |