| NPI | 1922738285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA EMBRY Owner 928-298-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2023-05-16 |