NPI | 1558303867 |
---|---|
Doing Business As | DEVEREUX ARIZONA |
Entity Type | Organization |
Authorized Contact | LANE MARTIN-BARKER Executive Director 480-998-2920 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2020-08-22 |