| NPI | 1669093241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA TSYCONYEA SIMMONS President 928-202-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 221700000X Art Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |