| NPI | 1407170335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE CACCIATORE Director 602-574-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LMSW11914) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |