| NPI | 1710190061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRADLEY Chief Executive Officer 520-750-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH 2812) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |