| NPI | 1992255897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA JEANNE BRIM Psychologist/President 928-380-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 3205) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |