| NPI | 1457067670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LANDIN CEO/Owner 480-309-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical | |
| 163W00000X Registered Nurse | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |