| NPI | 1033764097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WALKER Lcsw 928-453-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-05-20 |