| NPI | 1790916583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ELDON BROWN Drug/Alcohol Counselor 928-669-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA cp00002772) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |