| NPI | 1124278536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LEE LASH Employment Specialist 928-753-3631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ CSA08ADHS0201) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |