| NPI | 1780122796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GUTOWSKI CEO/Clinical Director 602-499-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 13271) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |