| NPI | 1962680041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M. BLACK Executive Director 602-243-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH512) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |