| NPI | 1881924736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M REYES CEO/Clinical Director 928-830-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LBSW0290) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |