| NPI | 1740438084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN L RIDER Executive Director 602-248-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSA08ADHS0187) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2010-11-18 |