NPI | 1639490543 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA DEGRANDIS Sole Member 480-385-8223 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS T-LP 1878) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2010-06-15 |