| NPI | 1548359599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY M SMITH Executive Director 928-783-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH505) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-06-12 |