| NPI | 1396253514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEOGRATIAS BARANSAKA Administrator 623-760-8378 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH5344) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |