| NPI | 1588453245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH XAVIER GONZALEZ Director/President 480-859-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |