| NPI | 1396806089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL RUSSO Chief Executive Officer 602-404-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ AZAHCCCS767709) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AZ BH3998) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-05-15 |