| NPI | 1477916203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MOLINA Vice President 623-466-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG7614) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |