| NPI | 1356778229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM COUTHRAN Licensed Professional Counselor 928-583-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC-14205) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |