| NPI | 1174725808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA GARLIT Executive Director 928-726-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH 1142) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |