| NPI | 1720049190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN SO Accounts Receivable Manager 480-295-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2023-09-28 |