| NPI | 1104459809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRES MANUEL ADAMES Director 480-525-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |