| NPI | 1407254261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COX Crisis Therapist 385-468-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 81824333502) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-12 |