| NPI | 1184488439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN COOPER JOHNSON Owner/Practitioner 928-389-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-05-31 |