| NPI | 1376275339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY PROFFITT Director Of Billing 480-219-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-10-12 |