| NPI | 1871135426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES OKPARA Manager 602-909-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2020-12-19 |