NPI | 1962749499 |
---|---|
Entity Type | Organization |
Authorized Contact | FARON JACK Interim CEO 602-404-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH4146) |
Enumeration Date | 2013-01-03 |
Last Update Date | 2013-01-03 |