| NPI | 1598482119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MASOYA Site Administrator/Authorized Perso 480-276-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-09-11 |