| NPI | 1598523391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN BOCCARD HEALEY Administrative Director 928-273-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-08-14 |