| NPI | 1417033630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI MCKINNEY Regional Coordinator 602-996-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH2472) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2023-03-07 |