| NPI | 1972639748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CARRILLO Finance COO Rdinator 928-639-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ PENDING) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |