| NPI | 1609178383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEPSIBAH ANJURI Owner/Provider 520-296-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-4445) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2014-02-21 |