| NPI | 1891983375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY WILKERSON Owner 602-870-0972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-896) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |