NPI | 1609305564 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSANDRA SMITH Owner 928-379-7016 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2017-06-05 |
Last Update Date | 2022-07-21 |