| NPI | 1477308559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY C MCGUIRK Clinical Director 480-797-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |