NPI | 1801323662 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL D HOLLAND President/CEO 928-207-5139 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-16254) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2019-12-09 |