| NPI | 1720486780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A ORONA Business Co Owner 480-452-9519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6924) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |