| NPI | 1194533810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR ALLAYEV CEO 602-796-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |