| NPI | 1962042572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ANNE MEYER Clinical Director 928-814-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2023-01-09 |