| NPI | 1437195906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KOZIBA CFO 602-264-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH1887) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-10-24 |