NPI | 1528415650 |
---|---|
Doing Business As | EATON CENTER FOR JOYFUL HEALTH |
Entity Type | Organization |
Authorized Contact | GREG BILLI CEO 928-442-9205 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ CSLG7699) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: AZ CSA 14ADHS014813) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2021-07-01 |