| NPI | 1689972390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE M. O'DONOGHUE Chief Executive Officer 480-894-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ LPC 0181) |
| Additional Taxonomies | 251S00000X (Licence: AZ LISAC-11609) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |