| NPI | 1306733142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELUTA SIMION CEO 602-800-9593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |