| NPI | 1205716909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA JOYCE HINES Owner 480-203-9107 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |