| NPI | 1770727174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDIDA ANN BENDER-DEE Director 602-388-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3303) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |