| NPI | 1487679973 |
|---|---|
| Doing Business As | PINE VIEW BEHAVIORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | IVAN ROBERT WILDERMAN Chief Executive Officer 928-524-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |