| NPI | 1881753184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNTBAUSE GARY SLONE CEO 602-249-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3118) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-10-07 |