| NPI | 1972774685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A HENDERSON Executive Director 480-464-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-2306) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-07-24 |