| NPI | 1912263997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMUALDO MUNOZ Owner 480-332-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3964) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |