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 |