| NPI | 1215756242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RICHIE Owner/Counselor 623-505-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| 171400000X Health & Wellness Coach | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |