| NPI | 1811776271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE LEE BLAKES Therapist 480-521-5289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |