| NPI | 1417470287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA SHUMATE SIMS CEO 602-777-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-15992) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LPC-15992) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2019-03-01 |