| NPI | 1457040594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN HULLIHEN CEO 928-583-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |