| NPI | 1144690942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY L. LOVE President/Owner 928-276-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ BH4690) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2017-04-14 |