| NPI | 1528310513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE BLAKE Revenue Cycle Manager 480-207-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ 11707) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2022-12-19 |