| NPI | 1114111796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A. CARR President/CEO 928-341-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-2909) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |