NPI | 1851709513 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUIE BETH JENSEN Therapist 480-221-4875 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LISAC-11489) |
Enumeration Date | 2014-07-25 |
Last Update Date | 2014-07-25 |