| NPI | 1831951730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN SMITH Owner / Clinical Therapist 928-525-6352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |