| NPI | 1477243368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENEAPHA RENEE PATTON Member/CEO 602-706-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-07-31 |