| NPI | 1952542078 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AMY B. HENNING Chief Executive Officer 602-285-4340 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6421) | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| 251B00000X Case Management (Licence: AZ OTC6421) | |
| Enumeration Date | 2009-03-19 | 
| Last Update Date | 2025-02-18 |