| NPI | 1255437836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA MENDEZ-COUNTS Executive Director 928-341-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ OTC6081) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: AZ AL3382D) |
| 332U00000X Home Delivered Meals | |
| 101YM0800X Counselor, Mental Health (Licence: AZ OTC6081) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ OTC6081) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-06-20 |