NPI | 1538543244 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY R HAY Vice President 480-221-8367 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-1264) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC--0792) |
101YP2500X Counselor, Professional (Licence: AZ LPC-10988) | |
Enumeration Date | 2015-07-13 |
Last Update Date | 2015-07-13 |