NPI | 1386949253 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF JORDE President/CEO 602-257-9339 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH-3798) |
Enumeration Date | 2011-01-24 |
Last Update Date | 2011-01-24 |