| NPI | 1538599469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LUCHINI Insurance Administrator 928-533-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2014-03-31 |