| NPI | 1912061508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA E. GARLIT Executive Director 928-783-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH-1142) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2013-08-09 |