| NPI | 1679039044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ANDREWS Director Of Quality Assurance 928-379-3097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |