| NPI | 1063110732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY LACERIAL PEARSON CEO 602-690-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-03-13 |