| NPI | 1588720650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED MASON HILL Director Of Business Operations 480-804-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC-8164) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2017-05-01 |