NPI | 1639306624 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK LAZARE Clinical Director 602-633-6200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3143) |
Enumeration Date | 2009-06-17 |
Last Update Date | 2009-06-17 |