| NPI | 1679910202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA LYNNE HOWARD Chief Executive Officer 928-442-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |