| NPI | 1437487998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN E. MUDD Chief Executive Officer 480-983-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3478) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2015-10-15 |