| NPI | 1922401496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DANIEL LETENDRE CEO 928-583-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: AZ IFBH6794) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2024-11-15 |