| NPI | 1720330194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K MCKELVEY Chief Executive Officer 602-599-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6851) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2016-10-27 |