| NPI | 1780345850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW BENNETT Chief Operating Officer 928-671-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2021-12-31 |