| NPI | 1598538308 |
|---|---|
| Former Legal Business Name | CASS |
| Entity Type | Organization |
| Authorized Contact | ASHLEY DEPRATO Smi Administrator 602-256-6945 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-12-29 |