| NPI | 1245521053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAY ADAMS Care Director 480-444-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ BH3725) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ BH3725) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2014-01-12 |