| NPI | 1932277480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN MICHAEL KIRWAN Clinical Director 602-738-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC5939) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2025-12-19 |