NPI | 1821499104 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY M BLACK Chief Executive Officer 602-243-1773 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 4868156) |
Enumeration Date | 2014-09-05 |
Last Update Date | 2014-09-05 |