| NPI | 1861669111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA A PERSON Clinical Director 623-974-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 10841) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |