| NPI | 1265778500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LYNNE HOWARD Chief Executive Officer 928-442-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ CSA03NA0148) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2013-05-16 |