| NPI | 1104521020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSON NATHAN CEO 480-430-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |