| NPI | 1104030980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHEETS President CEO 026-351-6986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH-2875) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-11-09 |