| NPI | 1144199043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT SCRIVNER Founder 480-250-8694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |