| NPI | 1801640040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SHERWOOD Counselor 928-322-3889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |