| NPI | 1801026539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L. JOHNSON Executive Director 602-253-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSA09adhs0142 -2) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |