| NPI | 1598073512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYFFANI PURNELL Executive Director 480-233-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3597) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |