| NPI | 1134543481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT LUCHINI Account Manager 928-533-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |