| NPI | 1134991995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALI MARIE RYCZEK Executive Director 928-231-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |