NPI | 1326572397 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK THIELE President/CEO 602-277-2112 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG8115) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ CSLG8127) |
251S00000X Community/Behavioral Health (Licence: AZ CSLG8117) | |
251S00000X Community/Behavioral Health (Licence: AZ CSLG8126) | |
251S00000X Community/Behavioral Health (Licence: AZ CSLG8116) | |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |