NPI | 1699858399 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL A. CARR CEO 928-341-0335 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-1179) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-10-16 |