| NPI | 1255411120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A. CARR CEO 928-341-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-2230) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-10-15 |