| NPI | 1942967989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ISRAEL OMASERE Chief Executive Officer 602-558-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |