| NPI | 1063103042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AUGUSTUS BARNES President 623-418-0078 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |