| NPI | 1053079780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIQANI ADAM CEO 480-287-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103T00000X Psychologist |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 363LC1500X Nurse Practitioner Community Health | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |