| NPI | 1144625765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER NEIL SIMMONS Chief Medical Officer 480-428-8022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |