| NPI | 1841459153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A. CARR President/CEO 928-341-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH1240) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |