| NPI | 1124738620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN ROBERT YEAGER Therapist 602-400-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2023-12-14 |