| NPI | 1770004830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY SINON Registered Behavior Technician 928-899-0286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 1620713) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-21 |