| NPI | 1336224336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JENSEN Executive Director 928-774-1926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ bh-650) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |