| NPI | 1679267942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENA JORDAN CEO 602-782-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |