| NPI | 1174302376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKAODI PRISCILLA BANOR CEO/Owner 480-590-5146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |