| 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 |