| NPI | 1710216817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRIC BURTON SPEAGLE Chief Executive Officer 480-612-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH2988) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |