| NPI | 1346974763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA ANAGHO Owner 928-655-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |