| NPI | 1568872596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS MOORE Chief Financial Officer 480-649-3352 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC5956) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2026-06-12 |