| NPI | 1134805021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON DONALD GROSS Partner 480-410-7625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |