| NPI | 1558765420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA STINER Biling Director 602-694-9643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ Med5851) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2025-12-11 |