| NPI | 1649341926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGG DERROW Owner, President, Exec. Director 520-459-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-2641) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |