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 |