| NPI | 1437921236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA DENNIS Administrator 480-363-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |