| NPI | 1760813307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DONAHUE CFO And Authorized Official 928-668-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2018-10-04 |