| NPI | 1487793360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HIBBELER Chief Executive Officer 602-264-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH138) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |