| NPI | 1447508403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK JESUS Administrator/Clinical Director 602-241-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |