| NPI | 1508635152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE BRUCE CEO 928-699-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2023-12-22 |