| NPI | 1073903472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MORSE CEO 928-541-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH4452) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |