| NPI | 1356185649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOB ELLIOTT Owner 480-233-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |