NPI | 1417330655 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID A. WATTS Chief Administrative Officer 928-287-3957 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC-6458) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-07 |