| NPI | 1376795534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R GALLAGHER Executive Director 480-644-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH1819) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |