NPI | 1033448923 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL R HANSEN Chief Executive Officer 928-446-8278 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LISAC-11869) |
Enumeration Date | 2009-12-23 |
Last Update Date | 2010-04-21 |