| NPI | 1528254125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA BURKHALTER Executive Director 928-774-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH 1709) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |