| NPI | 1083640593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE BINLEY President 623-939-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH-2882) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ BH-1352) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-06-28 |