| NPI | 1235818170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN BERT Owner/CEO 520-304-3389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |