NPI | 1336480037 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE RENAUD CEO 602-258-6797 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6180) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ OTC-6180) |
Enumeration Date | 2013-03-06 |
Last Update Date | 2025-06-24 |