| NPI | 1841543345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS HOWARD Director 602-487-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH4087) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |