| NPI | 1912346610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED SCHAFFNER Chief Financial Officer 928-778-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2016-05-24 |