| NPI | 1831344035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN HEREDIA CEO 602-258-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC5327) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ OTC-5327) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2021-11-02 |