| NPI | 1932349644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNETTE ERHART Director/Owner 928-773-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ #BH-1634) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |