| NPI | 1558232058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY GRAY Executive Director 602-400-7119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-09-16 |