| NPI | 1154781417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MARIE SANDOVAL Director 928-699-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175L00000X Homeopath | |
| 175T00000X Peer Specialist | |
| 251300000X Local Education Agency (LEA) | |
| 251K00000X Public Health or Welfare | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR1100X Clinic/Center, Research | |
| 305S00000X Point of Service | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |