| NPI | 1124715750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYANNA LEOLANI AH QUIN Owner 480-356-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |