| NPI | 1548490907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LYNN SETREN CEO 928-773-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSA09ADHS0208) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |