| NPI | 1598121865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NEIDERMYER STEPHENSON Owner 520-820-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 10427) |
| Enumeration Date | 2016-01-02 |
| Last Update Date | 2016-01-02 |