| NPI | 1316320617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS THOMAS CRIPE Director 602-799-2051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2015-07-04 |