| NPI | 1912636630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOHN MARCUS Program Director 602-561-4951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103TC1900X Psychologist Counseling | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |