| NPI | 1568958510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STEVEN BAUMGARTNER Operations Director 928-778-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |