NPI | 1376212639 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGINA CARROLL Director Of Clinical Operations 928-533-0872 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-09-09 |
Last Update Date | 2023-01-03 |