| NPI | 1811567886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BILLI CEO 928-442-9205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2023-10-17 |