| NPI | 1568912756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEA MCFADDEN Counselor 480-659-8245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-13296) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-11856) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |