| 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 |