| NPI | 1437444056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A. TOSADO Psychiatrist 928-920-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PR 29,892-R) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2015-07-09 |