| NPI | 1952550071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA PLAYER CEO 928-445-5211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: AZ SH-4435) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: AZ SH4435) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2023-07-31 |