| NPI | 1023852506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA JASSO MENDEZ-COUNTS Executive Director Quality & Comp 928-341-9400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |