| NPI | 1811572431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAGE DEMOND MUSGROVE Peer Support Specialist 928-257-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |