| NPI | 1659197325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA FORTSON Director Of Operations 480-868-8697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |