| NPI | 1538290119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLL ARNETT Director 928-338-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ 541484) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |