| NPI | 1386514008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE DANJOU CEO 623-337-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |