| NPI | 1841909298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN FUGATE Founder 602-622-7314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |