| NPI | 1740806108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM UZMA HASAN Director Of Administration 480-462-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-05-07 |