| NPI | 1427307768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY E ALEXANDER Business Managing Director 775-392-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3878) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2021-01-22 |