| NPI | 1235815333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINE YAZIDZHYAN Member 602-635-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |