| NPI | 1770888646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF JORDE President/CEO 602-257-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH-3794) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |