| NPI | 1811386287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM WILLIS CEO 928-671-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-02-11 |