| NPI | 1730577263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNELL COLBERT CEO 602-505-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH4495) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-09 |