| NPI | 1003997883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD F HAASE Nah Chief Syst EMS Officer 928-773-2059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: AZ H122) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-04-15 |