| NPI | 1972838167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE JAMISON PENNIMAN CEO 602-535-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3856) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2012-07-27 |