NPI | 1356121768 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRI HICKS Owner Operator 480-241-9824 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
133NN1002X Nutritionist, Nutrition, Education | |
164W00000X Licensed Practical Nurse | |
171400000X Health & Wellness Coach | |
171M00000X Case Manager/Care Coordinator | |
172A00000X Driver | |
175T00000X Peer Specialist | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-10-03 |
Last Update Date | 2023-10-03 |