| NPI | 1356909451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARR DENISON Managing Member 928-300-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-02-03 |