| NPI | 1922554906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN R SHERMAN Owner 602-319-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 235Z00000X) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2019-11-25 |