| NPI | 1730330218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D DAMORE President Owner 480-239-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3191) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |