| NPI | 1104284637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA YAZZIE DEVINE CEO/President 602-254-3247 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |