| NPI | 1174932669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON NORDAHL Director Of Business Integrity 602-285-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2024-03-12 |