| NPI | 1245162122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA CHANEL SHEMWELL Executive Director 928-587-9198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-06-02 |
| Last Update Date | 2026-06-02 |