| NPI | 1679855902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN BISHOP President 602-955-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ L-1706670-6) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |