| NPI | 1770222903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER FAUSSETTE CEO 623-703-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-06-04 |