| NPI | 1427457910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDIDA BENDER-DEE Director 602-388-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6616) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |