| NPI | 1942358601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOHNSON Chief Operating Officer 602-659-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH2392) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |