| NPI | 1508481854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH MOSLEY Owner 928-600-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2021-04-27 |