| NPI | 1801190376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE RABIDEAU CEO 602-427-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3781) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |