| NPI | 1639216393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE WHISLER V.P. Of Compliance 928-684-4029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: AZ SH5614) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-12-08 |