| NPI | 1518564442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOZAMIL GABIR ABDELRAHMAN Authorized Official 480-907-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2024-05-31 |