| NPI | 1952625352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA SCRANTON Behavioral Health Director 928-526-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3422) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |