| NPI | 1437690187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T ALLEN Clinical Director 480-228-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG8091) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |