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 |