| NPI | 1467663583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY MCDOWELL ROSS MCDOWELL Substance Abuse Specialist 928-448-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-07-07 |