| NPI | 1538667316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY LIVINGSTON Sole Member 928-301-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LCSW-12681) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-04-24 |