| NPI | 1548069420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA OLIVER Owner 623-221-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 103TH0100X Psychologist, Health Service | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |