| NPI | 1396317830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA MICHELLE DEMUS Chief Administrative Officer 623-695-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |