NPI | 1700164019 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF JORDE President/CEO 602-257-9339 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH-3901) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2011-08-03 |