| NPI | 1548452584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J KAPLAN President & CEO 928-537-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ DDH1680) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |