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 |