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 Community/Behavioral Health | |
Enumeration Date | 2006-03-28 |
Last Update Date | 2023-09-28 |