NPI | 1336593045 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN GEOR-ZELL BYNUM Executive Director 602-327-8375 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC7551) |
Enumeration Date | 2016-04-19 |
Last Update Date | 2016-04-19 |