| NPI | 1700317674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE KALLAL Executive Director 602-412-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OT6517) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |