NPI | 1841602182 |
---|---|
Other Name | VERN JOHNSON |
Entity Type | Organization |
Authorized Contact | VERN JOHNSON Owner 602-524-0583 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2014-05-21 |
Last Update Date | 2014-05-21 |