| NPI | 1881644581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE A. WOODS President 928-472-8298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ LCSW0585) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-01-29 |