| NPI | 1104106418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED SCHAFFNER Cheif Financial Officer 928-778-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3908) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2016-05-24 |