| NPI | 1932862729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUBREY RAE LAIRD Owner 928-238-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |