| NPI | 1659840726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYAN HAUGEN CFO 480-250-5807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 1041C0700X Social Worker Clinical | |
| 207ZP0007X Pathology Molecular Genetic Pathology | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |