| NPI | 1629806658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALI PETERSON Executive Director 928-231-4731 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |