| NPI | 1689811093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J BEATY President/CEO 602-535-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3201) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |