NPI | 1841854064 |
---|---|
Entity Type | Organization |
Authorized Contact | TROY SMITH Vice President 602-615-3813 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
251B00000X Case Management | |
Enumeration Date | 2019-04-23 |
Last Update Date | 2019-04-23 |