| NPI | 1790328607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGINA CARROLL Director Of Clinical Operations 928-533-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2023-01-03 |