| NPI | 1801764212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JOLLY Chief Compliance Officer 480-543-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 111N00000X Chiropractor | |
| 133N00000X Nutritionist | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 251B00000X Case Management | |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |