| NPI | 1376371484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCCULLOCH Therapist/Owner Operator 928-221-3184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |