| NPI | 1902533185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZBETH N HERNANDEZ Chief Operating Officer 602-831-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2022-08-06 |