| NPI | 1235890484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FOX Owner 480-565-0138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2022-01-09 |
| Last Update Date | 2022-04-26 |