| NPI | 1194684597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELL SHANNON BROWN Owner 623-456-2793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-01-21 |