| NPI | 1497815567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M KALLAL Executive Director 602-412-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-2739) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2018-06-21 |