| NPI | 1366870776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF KAZMIERCZAK Chief Executive Officer 602-253-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-4332) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2024-08-14 |