| NPI | 1861128613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MACHELLE WIGGINS CEO 480-853-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QM0801X | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2023-09-13 |