| NPI | 1588387005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLYN HAYES Health Care Provider 602-405-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TF0200X Psychologist, Forensic | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |