| NPI | 1508092693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E SCOTT Owner 520-298-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3149) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |