| NPI | 1427354315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LIBBERTON Chief Operating Officer 928-376-0220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH 3823) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |