| NPI | 1326272642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY F PENNY Medical Director 928-445-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-922) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |