| NPI | 1811700107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE PETERSON Executive Director, Northern Az Reg 928-830-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2026-03-27 |