| NPI | 1477110658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MCLOUGHLIN Owner 928-308-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2022-03-11 |