| 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 |