| NPI | 1316539687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY STARR GOOCH CEO 480-687-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-10-17 |