| NPI | 1538511886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK THOMAS WESTBY Owner 480-993-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LISAC 11886) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |