| NPI | 1831918135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALI PETERSON Executive Director 928-231-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |