| NPI | 1407090418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY MEAD Health Director 928-753-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ OTC3464) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |