| NPI | 1407257595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF KAZMIERCZAK Chief Executive Officer 602-253-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC8547) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2024-08-14 |