NPI | 1336955772 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMILLE MERCEDES MCCORMICK Owner/Clinical Director 480-256-8240 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YP1600X Counselor, Pastoral | |
103T00000X Psychologist | |
106S00000X Behavior Technician | |
Enumeration Date | 2024-12-10 |
Last Update Date | 2025-02-26 |