| NPI | 1720577927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BASILOTTA Co Owner 602-935-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW16628) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ MAC509835) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC2117) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2020-11-02 |