| NPI | 1255818100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JAMESON Executive Director 602-501-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-11703) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |