| NPI | 1497834493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BRUMMET-PETERSON Executive Director, Northern Az Reg 928-830-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3226) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-06-30 |