| NPI | 1912458589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN D ABBOTT Chief Executive Officer 928-757-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ BH5021) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2021-06-23 |