| Organization Name: | COCONINO COUNTY |
| NPI Number: | 1962529610 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE BURLEY (DIVISION MANAGER) |
| Mailing Address: | 2625 N King St Clinical Services Flagstaff |
| State: | AZ US |
| Postal Code: | 860041884 |
| Phone Number: | 9286797222 |
| Fax Number: | 9286797351 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 02/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | AP1709 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |