| NPI | 1427727577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELONDA W WILSON Chief Operations Officer 602-935-1611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2021-09-12 |