| NPI | 1700365467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH A. CROSS Owner/Clinical Director 928-420-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-12-05 |