| NPI | 1851667257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FRANCIS LUCHINI Accounts Manager 928-533-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-4015) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |