| NPI | 1922275692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN D ABBOTT Chief Executive Officer 928-757-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH2398) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2016-03-30 |