| NPI | 1528270113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL DICKSON Behavioral Health Director 928-657-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-03-10 |