| NPI | 1760198329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA STANFORD CEO 602-581-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2024-03-21 |