| NPI | 1982908182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIOLYN M LASLEY CEO 480-812-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3750) |
| Additional Taxonomies | 344600000X Taxi |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2022-07-21 |