| NPI | 1417093246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LOU TATUM-SHIPLEY Executive Director 623-876-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LCSW-2401) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LCSW-2401) |
| 101YM0800X Counselor Mental Health (Licence: AZ LCSW-2401) | |
| 101YP2500X Counselor Professional (Licence: AZ LCSW-2401) | |
| 104100000X Social Worker (Licence: AZ LCSW-2401) | |
| 1041C0700X Social Worker Clinical (Licence: AZ LCSW-2401) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |