| NPI | 1710091277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH W PATTERSON Director 480-329-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ BH2430) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ BH2430) |
| 101YP2500X Counselor, Professional (Licence: AZ BH2430) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-03-03 |