| NPI | 1770296980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYCEE M PITTMAN Lcsw 928-637-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |