| NPI | 1386710978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN GARDNER Director 602-312-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 726200) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |