| NPI | 1255952743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE COLLIER Owner 520-876-9714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-01-25 |