| NPI | 1043904626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOJOK AJAWIN Manager (Owner) 480-358-7850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |