| NPI | 1225789357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA DURAN Office Manager 928-919-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |