NPI | 1255055919 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNY BROWN Chief Executive Officer 480-352-1957 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
106S00000X Behavior Technician | |
Enumeration Date | 2022-09-27 |
Last Update Date | 2022-09-27 |