| NPI | 1639233737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JANE HANSEN Clinical COO Rdinator 480-784-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC 0381) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-06-12 |