| NPI | 1578094827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLETTE ITAMI President/CEO 602-309-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG7618) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2018-03-30 |