| NPI | 1255669354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PAUL THOMAS President 928-428-8714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 3305) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |