| NPI | 1588929244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LUCHINI Accounts Manager 928-533-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |