| NPI | 1457414922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TAYLOR Chief Executive Officer 928-669-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR L1353) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |