| NPI | 1467841833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN OLSON GARDNER Director / Owner 602-312-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ L-0976671-3) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |