| NPI | 1700208907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY G LEACH Chief Executive Officer 602-368-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH4390) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |