| NPI | 1407812274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA WILSON Housing Manager 928-341-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-1799) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2026-07-01 |