| NPI | 1851797807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET O'BRIEN Owner 602-614-7187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 2084P0800X) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AZ 2084P0800X) |
| 251S00000X Community/Behavioral Health (Licence: AZ 103T00000X) | |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |