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 |