NPI | 1245902345 |
---|---|
Former Legal Business Name | SACRED CANYON COUNSELING |
Entity Type | Organization |
Authorized Contact | DIANNA L VAN SANFORD Counselor/Managing Partner 928-662-9978 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2021-09-28 |
Last Update Date | 2021-09-28 |