| NPI | 1295684660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL D'AVY Owner, Clinical Supervisor 480-331-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-01-27 |