| NPI | 1316182645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM SOWARD Co Owner 520-584-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC 1357) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC 10503) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2011-02-17 |